Comparing the Effectiveness of Stress Management Method based on Cognitive Behavioral Approach and Self-Care Training and their Combination on the Quality of Life in People with Type 2 Diabetes

Living with diabetes limitations is associated with special psychological distress. Therefore, the study aimed to determine the effectiveness of stress management method based on cognitive behavioral approach and self-care training and the combination of both on quality of life in people with type 2 diabetes.

The present study is a randomized four-group double-blind clinical trial with mixed between-and within-subjects design. The research sample included 60 people with type 2 diabetes selected purposefully among the members of the Kerman Diabetes Association by considering the inclusion and exclusion criteria for the study. The participants, after matching in terms of age and gender, were randomly replaced in 4 groups of 15 people and the experimental groups received the relevant interventions in 8 sessions and the control group did not receive any intervention. Pre-test, post-test and 2-month follow-up of the members of all 4 groups were performed by 36-item quality of life questionnaire.

According to the results of the SPANOVA analysis, the mean scores of quality of life (physical and mental health) in the post-test and follow-up phases were increased compared to the pre-test phase and the occurred increase remained stable until the follow-up phase.

although medical training and self-care and psychological interventions are solely necessary and useful for people with diabetes, the combination of medical and psychological interventions are necessary to improve the quality of life and stability of the obtained results.